A role for neuroimmune signaling in a rat model of Gulf War Illness-related pain.

A role for neuroimmune signaling in a rat model of Gulf War Illness-related pain.
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DOI:
10.1016/j.bbi.2020.10.022
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发表时间:
2021-01
期刊:
Brain, behavior, and immunity
影响因子:
--
通讯作者:
Grace PM
Grace PM
中科院分区:
其他
文献类型:
--
作者:
Lacagnina MJ;Li J;Lorca S;Rice KC;Sullivan K;O'Callaghan JP;Grace PM

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超过四分之一的 1990 年至 1991 年波斯湾战争退伍军人患有海湾战争病 (GWI),这是一种慢性、多症状疾病,通常包括肌肉骨骼疼痛。接触一系列有毒化学物质,包括沙林神经毒剂,可能是 GWI 的根本原因。此外,此类化学物质暴露会引起啮齿类动物的神经炎症反应,这与啮齿类动物和患有 GWI 的退伍军人的几种 GWI 症状有关。迄今为止,尚未研究与 GWI 相关的疼痛的神经炎症基础。在这里,我们评估了 GWI 模型中伤害性超敏反应的发展。雄性 Sprague Dawley 大鼠在饮用水中接受皮质酮治疗 7 天,以模拟高生理应激,然后单次注射沙林神经毒剂替代物二异丙基氟磷酸盐。仅这些暴露不足以诱发异常性疼痛。然而,额外的亚阈值挑战(单次肌内注射 pH 4 盐水)会引起持久的双侧异常性疼痛。这种异常性疼痛与腰背脊髓和背根神经节(DRG)中活化的小胶质细胞/巨噬细胞(CD11b)和星形胶质细胞/卫星胶质细胞(GFAP)标记物的升高有关。此外,腰背脊髓中 Toll 样受体 4 (TLR4) mRNA 升高,而腰背脊髓、背根神经节和腓肠肌中 IL-1β 和 IL-6 升高。异常性疼痛通过米诺环素、TLR4 抑制剂 (+)-纳曲酮或 IL-10 质粒 DNA 治疗逆转,这表明这种神经炎症信号传导具有偶然作用。总之,这些结果表明了雄性大鼠神经炎症在与 GWI 相关的肌肉骨骼疼痛模型中的作用。缓解持续性免疫失调的疗法可能是治疗 GWI 疼痛和其他症状的策略。
More than a quarter of veterans of the 1990–1991 Persian Gulf War suffer from Gulf War Illness (GWI), a chronic, multi-symptom illness that commonly includes musculoskeletal pain. Exposure to a range of toxic chemicals, including sarin nerve agent, are a suspected root cause of GWI. Moreover, such chemical exposures induce a neuroinflammatory response in rodents, which has been linked to several GWI symptoms in rodents and veterans with GWI. To date, a neuroinflammatory basis for pain associated with GWI has not been investigated. Here, we evaluated development of nociceptive hypersensitivity in a model of GWI. Male Sprague Dawley rats were treated with corticosterone in the drinking water for 7 days, to mimic high physiological stress, followed by a single injection of the sarin nerve agent surrogate, diisopropyl fluorophosphate. These exposures alone were insufficient to induce allodynia. However, an additional sub-threshold challenge (a single intramuscular injection of pH 4 saline) induced long-lasting, bilateral allodynia. Such allodynia was associated with elevation of markers for activated microglia/macrophages (CD11b) and astrocytes/satellite glia (GFAP) in the lumbar dorsal spinal cord and dorsal root ganglia (DRG). Additionally, Toll-like receptor 4 (TLR4) mRNA was elevated in the lumbar dorsal spinal cord, while IL-1β and IL-6 were elevated in the lumbar dorsal spinal cord, DRG, and gastrocnemius muscle. Demonstrating a casual role for such neuroinflammatory signaling, allodynia was reversed by treatment with either minocycline, the TLR4 inhibitor (+)-naltrexone, or IL-10 plasmid DNA. Together, these results point to a role for neuroinflammation in male rats in the model of musculoskeletal pain related to GWI. Therapies that alleviate persistent immune dysregulation may be a strategy to treat pain and other symptoms of GWI.
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